Individual
DAVID W BEATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3152282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303802500
—
FL
01
—
59210252
BCBS
AL
01
—
G2873
BCBS
FL
01
—
P00813390
MEDICARE RAILROAD
—
Enumeration date
07/17/2006
Last updated
10/04/2012
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